Individual
LEAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 MONROE STREET, MADISON, WI 53711
(608) 219-8473
Mailing address
806 EAGLE CREST DR, MADISON, WI 53704-8551
(608) 219-8473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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